NPIMap

Organization Active NPI

Quietmind Foundation

  • Public Health & General Preventive Medicine Physician
  • Elkins Park, PA
National Provider Identifier
1174830129
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
QUIETMIND FOUNDATION
Practice address
140 Yorktown PLZ
Elkins Park, PA 19027-1420
Phone
(610) 940-0488
Fax
(215) 359-0630
NPI assigned
Sep 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marvin Harold Berman, PHDNPI 1639153703
Title
President
Phone
(610) 940-0488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

140 Yorktown PLZ
Elkins Park, PA 19027-1420

Mailing address

140 Yorktown PLZ
Elkins Park, PA 19027-1420
Phone (610) 940-0488

National Provider Directory

National Provider Directory

Locations

315 Yorktown Plz
Elkins Park, PA 19027
Phone (215) 885-4775

140 Yorktown Plz
Elkins Park, PA 19027
Phone (610) 940-0488

1108 E Willow Grove Ave
Wyndmoor, PA 19038
Phone (215) 233-6226

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1174830129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 YORKTOWN PLZ",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271420",
            "telephone_number": "610-940-0488",
            "fax_number": "215-359-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 YORKTOWN PLZ",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271420",
            "telephone_number": "610-940-0488",
            "fax_number": "215-359-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIETMIND FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-940-0488",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.